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Forefoot deformity surgical reconstruction outcomes in people living with rheumatoid arthritis in South Africa
Introduction: Involvement of the forefoot is common among patients with Rheumatoid Arthritis. It results in severe deformities with significant disabilities. Aim: The aim of this study was to compare and assess in patients with Rheumatoid Arthritis in a South African population the outcomes of sever...
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| Format: | Thesis |
| Language: | English |
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Division of General Surgery
2022
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| _version_ | 1867613259230609408 |
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| access_status_str | Open Access |
| author | Mukabeta, Takura Darlington Maumbe |
| author2 | McCollum, Graham |
| author_browse | McCollum, Graham Mukabeta, Takura Darlington Maumbe |
| author_facet | McCollum, Graham Mukabeta, Takura Darlington Maumbe |
| author_sort | Mukabeta, Takura Darlington Maumbe |
| collection | Thesis |
| description | Introduction: Involvement of the forefoot is common among patients with Rheumatoid Arthritis. It results in severe deformities with significant disabilities. Aim: The aim of this study was to compare and assess in patients with Rheumatoid Arthritis in a South African population the outcomes of severe forefoot deformity reconstruction surgery in the short- to medium-term and in particular focusing on radiological, clinical, and functional outcomes. Patients and Methods: A retrospective review of 19 patients who received reconstructive forefoot surgery for forefoot deformities resulting from Rheumatoid Arthritis was undertaken. They all underwent Modified Hoffman Surgical Reconstruction (first MTPJ fusion and lesser toe resection arthroplasty). The patient records between 2013 and 2016 were reviewed. Pre-operative and post-operative outcome scores were collected. Final postoperative radiographs were analyzed. Patients completed Short Form 36 and AOFAS forefoot scores. Post-operative scores were collected 6 months post-op. Results: There were 19 patients in the study with a minimum 6 months follow up. Of the 19 patients 17 (89.5%) were females and 2 (10.5%) males. The mean age was 54.9 ± 9.6 years (range: 34 – 69 years). Most patient outcomes (SF36, AOS alignment, VAS Pain percentage, and VAS Disability percentage) significantly improved with a p value < 0.05, when comparing the pre-operative versus post-operative variable scores. However, only AOS Alignments showed no significant difference between pre-operative and post-operative scores (p>0.05). Conclusion: Reconstructive forefoot surgery with the Modified Hoffman Surgical Reconstruction provides marked radiological correction, with significant improvements in the quality of life of the cohort of patients. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/35956 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:33:17.409Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| publisher | Division of General Surgery |
| publisherStr | Division of General Surgery |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/35956 Forefoot deformity surgical reconstruction outcomes in people living with rheumatoid arthritis in South Africa Mukabeta, Takura Darlington Maumbe McCollum, Graham Forefoot reconstruction outcomes Rheumatoid Arthritis South Africa Introduction: Involvement of the forefoot is common among patients with Rheumatoid Arthritis. It results in severe deformities with significant disabilities. Aim: The aim of this study was to compare and assess in patients with Rheumatoid Arthritis in a South African population the outcomes of severe forefoot deformity reconstruction surgery in the short- to medium-term and in particular focusing on radiological, clinical, and functional outcomes. Patients and Methods: A retrospective review of 19 patients who received reconstructive forefoot surgery for forefoot deformities resulting from Rheumatoid Arthritis was undertaken. They all underwent Modified Hoffman Surgical Reconstruction (first MTPJ fusion and lesser toe resection arthroplasty). The patient records between 2013 and 2016 were reviewed. Pre-operative and post-operative outcome scores were collected. Final postoperative radiographs were analyzed. Patients completed Short Form 36 and AOFAS forefoot scores. Post-operative scores were collected 6 months post-op. Results: There were 19 patients in the study with a minimum 6 months follow up. Of the 19 patients 17 (89.5%) were females and 2 (10.5%) males. The mean age was 54.9 ± 9.6 years (range: 34 – 69 years). Most patient outcomes (SF36, AOS alignment, VAS Pain percentage, and VAS Disability percentage) significantly improved with a p value < 0.05, when comparing the pre-operative versus post-operative variable scores. However, only AOS Alignments showed no significant difference between pre-operative and post-operative scores (p>0.05). Conclusion: Reconstructive forefoot surgery with the Modified Hoffman Surgical Reconstruction provides marked radiological correction, with significant improvements in the quality of life of the cohort of patients. 2022-03-07T12:09:55Z 2022-03-07T12:09:55Z 2021 2022-03-07T10:53:48Z Master Thesis Masters MMed http://hdl.handle.net/11427/35956 eng application/pdf Division of General Surgery Faculty of Health Sciences |
| spellingShingle | Forefoot reconstruction outcomes Rheumatoid Arthritis South Africa Mukabeta, Takura Darlington Maumbe Forefoot deformity surgical reconstruction outcomes in people living with rheumatoid arthritis in South Africa |
| thesis_degree_str | Master's |
| title | Forefoot deformity surgical reconstruction outcomes in people living with rheumatoid arthritis in South Africa |
| title_full | Forefoot deformity surgical reconstruction outcomes in people living with rheumatoid arthritis in South Africa |
| title_fullStr | Forefoot deformity surgical reconstruction outcomes in people living with rheumatoid arthritis in South Africa |
| title_full_unstemmed | Forefoot deformity surgical reconstruction outcomes in people living with rheumatoid arthritis in South Africa |
| title_short | Forefoot deformity surgical reconstruction outcomes in people living with rheumatoid arthritis in South Africa |
| title_sort | forefoot deformity surgical reconstruction outcomes in people living with rheumatoid arthritis in south africa |
| topic | Forefoot reconstruction outcomes Rheumatoid Arthritis South Africa |
| url | http://hdl.handle.net/11427/35956 |
| work_keys_str_mv | AT mukabetatakuradarlingtonmaumbe forefootdeformitysurgicalreconstructionoutcomesinpeoplelivingwithrheumatoidarthritisinsouthafrica |